The effect of preoperative anxiety on the incidence of perioperative bronchospasm: a prospective observational study

Independently from the chronic anxiety disorder, patients could feel nervousness and anxiety due to surgical stress during preoperative period. Preoperative anxiety could lead to various complications owing to autonomous nerve system activation. We targeted to examine the effects of preoperative anxiety on bronchospasm. In the study, 20-50 years old ASA I patient to be given elective endoscopic urologic operations were included. Totally 124 patients were evaluated during preoperative period. The patients were interviewed before the operation to determine their anxiety levels (Beck Anxiety Scale). Patients were grouped according to anxiety state. 58 anxious patients (Study Group) and 66 non-anxious (Control Group) were compared according to bronchospasm, wheezing, SpO2 paucity and ETCO2 extent. Incidence of bronchospasm and wheezing were found more in the patient group having preoperative anxiety (p

___

1. Markland D, Hardy L. Anxiety, relaxation and anesthesia for day-case surgery. Br JClin Psychol. 1993;32(4):493-504.

2. Kindler CH, Harms C, Amsler F, Ihde-Scholl T, Scheidegger D. The visuel analog skale allows effective measurement of preoperative anxitey and dedection of patient anesthetic concerns. Anesth Analg.. 2000;90(3):706-12.

3. Sadati L, Pazouki A, Mehdizadeh A, Shoar S, Tamannaie Z, Chaichian S. Effect of preoperative nursing visit on preoperative anxiety and postoperative complications in candidates for laparoscopic cholecystectomy: a randomized clinical trial. Scand J Caring Sci. 2013;27(4):994-8.

4. Caumo W, Schmidt P, Schneider N, Bergmann J, Iwamoto CW, Bandeira D, Ferreira BC. Risk Factors for Preoperative Anxiety in Adults. Acta Anaesthesiol Scand. 2001;45(3):298-307.

5. Walker KJ1, Smith AF. Premedication for anxiety in adult day surgery. Cochrane Database Syst Rev. 2009;7:(4):CD002192.

6. Asilioglu K, Celik SS. The effect of preoperative education on anxiety of open cardiac surgery patients. Patient Educ Coun. 2004;53(1):65-70.

7. Isenberg SA, Lehrer PM, Hochron S. The effects of suggestion and emotional arousal on pulmonary function in asthma: a review and a hypothesis regarding vagal mediation. Psychosom Med. 1992;54(2):192-216.

8. Ritz T, George C, Dahme B. Respiratory resistance during emotional stimulation: evidence for a nonspecific effect of experienced arousal? Biol Psychol. 2000;52(2):143-60.

9. Lehrer, PM, Isenberg S, Hochron SM. Asthma and emotion: a review. J Asthma. 1993;30(1):5-21.

10. Looseley A. Management of bronchospasm during general anaesthesia. Update in Anesthesia. www.anaesthesiologists.org access date 01.04.2017.

11. Murray JF: History and physical examination. In: Murray JF, Nadel JA, eds, Textbook of Respiratory Medicine, 5th edition. Philadelphia, WB Saunders, 1988,443.

12. Bordet F, Allaouchiche B, Lansiaux S, Combet S, Pouyau A, Taylor P, Bonnard C, Chassard D. Risk factors for airway complications during general anaesthesia in paediatric patients. Paediatr Anaesth.. 2002;12(9):762–9.

13. Barnes, PJ. Neural control of human airways in health and disease. Am Rev Respir Dis. 1986;134(6):1289–314.

14. Ritz T, Kullowatz A, Goldman MD, Kanniess F, Magnussenc H, Dahme B. Emotional reactivity of the airways in asthma: Consistency across emotioninduction techniques and emotional qualities. Biol Psychol. 2010;84(1):74-81.

15. Ritz T, Kullowatz A. Effects of stress and emotion on lung function in health and asthma. Current Respiratory Medicine Reviews. 2005;1(2),209-18.

16. Ritz T, Steptoe A. Emotion and pulmonary function in asthma: reactivity in the field and relationship with laboratory induction of emotion. Psychosom Med. 2000;62(6):808–15.

17. Ritz T, Thöns M. Airway response of healthy individuals to affective picture series. Int Journal Psychophysiol. 2002;46(1)67–75.

18. Ritz T, Steptoe A, De Wilde S, Costa M. Emotions and stress increase respiratory resistance in asthma. Psychosom Med. 2000;62(3):401-12.

19. Ritz T, Alatupa S, Thöns M, Dahme B. Effects of affective picture viewing and imagery on respiratory resistance in nonasthmatic individuals. Psychophysiology. 2002;39(1)86–94.

20. Cauberghs M, Van deWoestijne KP. Changes of respiratory input impedance during breathing in humans. J Appl Physiol. 1992;73(6)2355-62.

21. Ferris BG, Mead J, Opie LH. Partitioning of respiratory flow resistance in man. J. Appl. Physiol. 1964;19,653–8.

22. Dahme B, Richter R, Maß R. Interoception of respiratory resistance in asthmatic patients. Biol. Psychol. 1996;42(1-2),215–29.

23. Olsson GL. Bronchospasm during anaesthesia. A computer-aided incidence study of 136,929 patients. Acta Anaesthesiol Scand. 1987;31(3):244-52.

24. Shnider SM, Papper EM. Anesthesia for the asthmatic patient. Anesthesiology. 1961;22:886-92.

25. Gold MI, Helrich M. A study of complications related to anesthesia in asthmatic patients. Anesth Analg. 1963;42:238-93.

26. Pizov R, Brown ARH, Weiss YS, Baranov D, Hennes H, Baker S, Hirshman CA. Wheezing during induction of general anesthesia in patients with and without asthma. Anesthesiology. 1995;82(5):1111-6.
Medicine Science-Cover
  • ISSN: 2147-0634
  • Yayın Aralığı: 4
  • Başlangıç: 2012
  • Yayıncı: Effect Publishing Agency ( EPA )
Sayıdaki Diğer Makaleler

Characteristics and injury severity score of childhood injuries at emergency department of suez canal university hospital

Hussein Aamer AWAAD, Monira Taha ISMAİL, lamiaa El-Sayed FİALAA, Hesham Fathey EL-SAYED, Sobhy Ahmed SOBHY

Surgical approach to retinal detachment with primary congenital glaucoma

Ali OLGUN, DİLEK GÜVEN, Eyüp DÜZGÜN, Selam Yekta ŞENDÜL, Hakan KAÇAR

The possible relationship between epistaxis and protein Z plasma levels

Turan TURHAN, Esin ÇALCI, Aydın ACAR, Saltuk Buğra KILINÇ, Ayse Secil Kayali DİNC, Süleyman BOYNUEĞRİ, Zeynel ÖZTÜRK

Effect of taping techniques on pain and grip strength in patients with lateral epicondylitis

Khaled Z FOUDA, Ibrahim M DEWİR

Idiopathic talipes equinovarus with preaxial polydactyly of the foot: a case report

Ali Tufan PEHLİVAN, Süleyman Semih DEDEOĞLU, Yunus İMREN

Sonographic measurement of palatine tonsil volume in children and comparison with actual volume

MEHMET ÖZTÜRK, Tayyar KILINÇ

Family functioning is related to health behaviors in patients with type 2 diabetes

Mean SD, Eliseo LÓPEZ-HERNÁNDEZ, Alma ARRİAGA-GONZÁLEZ, Rene GAMEROS-GARDEA, ilvia Máynez OCÓN

Evaluate the efficacy of Simvastatin and Fluvastatin in patients with hypercholesterolemia and their effect on liver functions

Mohamed A ABU-SAİF, Mohamed E.A. ABDELRAHİM, Ahmed A.H ALİ, Hassan A. H ALİ

Investigation of the protective and treatment effects of vinpocetine in myocardial infarctional with isoprotenol in rats

Taner GÜVEN, Mehmet Ediz SARIHAN, Hakan PARLAKPINAR, Nigar VARDI, KEVSER TANBEK

The importance of curettage in cases of sexual violence

OSMAN CELBİŞ, TURGAY BÖRK, ABDULLAH KARAER, Ozlem Ozel OZCANLİ, Esra Porgali ZAYMAN